Organization
THE VIDEOSYNERGY CONSORTIUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH R AUSTIN LCSW (AUTHORIZED OFFICE)
(808) 386-3110
Entity
Organization
Contact information
Practice address
1216 YOUNG ST APT 305, HONOLULU, HI 96814-1808
(808) 386-3110
Mailing address
1216 YOUNG ST APT 305, HONOLULU, HI 96814-1808
(808) 386-3110
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3067
HI
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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